Meconium yog tus menyuam lub plab qub. Muaj pes tsawg hnub meconium tawm tuaj

Cov txheej txheem:

Meconium yog tus menyuam lub plab qub. Muaj pes tsawg hnub meconium tawm tuaj
Meconium yog tus menyuam lub plab qub. Muaj pes tsawg hnub meconium tawm tuaj

Video: Meconium yog tus menyuam lub plab qub. Muaj pes tsawg hnub meconium tawm tuaj

Video: Meconium yog tus menyuam lub plab qub. Muaj pes tsawg hnub meconium tawm tuaj
Video: Thov pom siab tus neeg pluag 2024, Hlis ntuj nqeg
Anonim

Ntau tus neeg xav tias pes tsawg hnub meconium tawm hauv cov menyuam mos. Cia peb xav txog hauv kab lus no.

Nrog tus me nyuam yug los, lub neej ntawm niam txiv hloov pauv, thiab kev noj qab haus huv ntawm tus menyuam thiab nws txoj kev noj qab haus huv yog qhov tseem ceeb tshaj plaws. Feem ntau, cov niam hluas tsis paub tias tus mob twg yog tus qauv rau tus menyuam mos, thiab yog li ntawd lawv pheej ntshai ntawm ib yam dab tsi. Txhawm rau kom tsis txhob ntxhov siab vim tsis muaj laj thawj thiab tib lub sijhawm tsis txhob nco cov tsos mob ntawm tus kab mob, nws yuav tsum tau kawm ua ntej txog cov txheej txheem physiological tshwj xeeb ntawm tus menyuam yug tshiab.

meconium yog
meconium yog

Zoo digestion

Me nyuam txoj kev zom zaub mov zoo muaj feem cuam tshuam rau nws txoj kev noj qab haus huv thiab kev noj qab haus huv. Nws tuaj qhov twg los? Cov quav ntawm cov menyuam yaus uas nyuam qhuav yug los tau hloov pauv thiab muaj ob peb theem ua ntej nws yuav siv sij hawm rau cov duab thiab xim ntawm cov quav uas peb tau siv los pom. Nws tag nrho pib nrog meconium. Nws yog dab tsi? Dab tsi yoglub sijhawm ntawm nws qhov tsos? Thiab puas muaj cov pathologies ncaj qha cuam tshuam rau kev hla ntawm meconium?

Tus me nyuam thawj lub rooj zaum yuav zoo li cas?

Meconium yog ib qho tshwj xeeb thawj cov quav, uas tawm hauv cov hnyuv hauv daim ntawv ntawm plab hnyuv. Raws li nws cov yam ntxwv, meconium yog qhov sib txawv ntawm cov quav ntawm tus menyuam yav tom ntej. Nws yog nplaum heev, khov, yuav luag tsis muaj ntxhiab, cov xim xim feem ntau yog xim ntsuab tsaus, ncav cuag yuav luag dub (nws yuav tsum tau hais, mekonion txhais tau tias "poppy" hauv Greek).

Cov quav quav thiab nws cov muaj pes tsawg leeg yog txiav txim ncaj qha los ntawm lub neej hauv plab, vim tias cov khoom tawg ntawm cov kua tsib, zom cov hlwb epithelial, cov plaub hau prenatal, kua amniotic, hnoos qeev hauv me me thiab, ntawm chav kawm, dej tuaj yeem pom. hauv meconium.

meconium hauv cov menyuam mos
meconium hauv cov menyuam mos

Meconium sterility

Nws feem ntau lees paub tias tus menyuam cov quav yuav luag tsis muaj menyuam nyob hauv thawj peb mus rau plaub teev tom qab yug me nyuam, tom qab ntawd cov hnyuv, suav nrog cov hnyuv nws tus kheej, yog colonized. Tab sis tsis ntev dhau los no, ib pab pawg kws tshawb fawb Spanish tau tshuaj xyuas meconium thiab ua pov thawj tias lactobacilli muaj nyob hauv thawj cov quav, nrog rau ntau cov kab mob hauv plab.

Cov ntsuas ntawm meconium hauv cov menyuam yug tshiab muaj li ntawm rau caum mus rau ib puas grams, nws acidity yog 6 pH.

Thaum twg meconium dhau?

Yog li, nws yuav siv sijhawm ntev npaum li cas rau lub cev kom tshem tawm thawj feem ntawm cov quav, ua tiav los ntawm nws? Feem ntau, excretion ntawm nws cov ntsiab lus los ntawm txoj hnyuv yog nqa tawmthawj hnub, uas yog, txij li peb mus rau nees nkaum teev tom qab yug me nyuam. Tab sis nyob rau hnub thib ob thiab thib peb, cov quav yog hu ua kev hloov pauv, vim nws suav nrog cov seem ntawm meconium thiab zom cov khoom noj uas tuaj - sib tov lossis colostrum. Thaum xub thawj, ib tug neeg impurities thiab streaks tau pom nyob rau hauv nws, tab sis tom qab ntawd tus me nyuam cov quav maj mam hloov thiab ua mushy los yog kua daj.

Puas muaj peev xwm pab txhawb kev tso tawm meconium ntawm tus menyuam lub cev? Yog lawm, yog txij thaum pib tus niam yuav siv nws rau lub mis. Koj yuav tsum paub tias colostrum secreted nyob rau hauv thawj hnub ntawm pub mis yog, nyob rau hauv essence, tuab mucus, uas yog saturated nrog as-ham thiab muaj ib tug me ntsis laxative nyhuv. Cov menyuam mos uas pub niam mis thaum ntxov ntawm lawv lub neej tau yooj yim dua lub sijhawm defecation.

meconium aspiration
meconium aspiration

Meconium ntxuav li cas?

Qhov no tsis yooj yim ua. Txhawm rau ntxuav cov nplaum nplaum, dej ntws ib leeg tsis txaus. Yuav kom daws tau qhov teeb meem, koj tuaj yeem siv cov roj rau cov menyuam mos los yog cov nplaum nplaum uas siv rau hauv qab daim pawm. Hauv qhov no, qhov teeb meem yuav nrawm nrawm, thiab nws tuaj yeem yooj yim ntxuav tus menyuam lub pob tw nrog dej lossis daim ntaub ntub dej.

yam ntxwv ntawm cov quav menyuam yaus ib txwm

Yog li, pes tsawg hnub meconium tawm hauv cov menyuam yug tshiab? Los ntawm xya hnub tom qab yug me nyuam, nws cov quav yuav tsum tau rov qab mus rau qhov qub, uas yog, tau txais cov xim daj thiab qhov sib xws, tab sis qhov tseeb yuav muaj lwm yam kev xaiv uas tsis cuam tshuam nrog kev sib txawv.

  • xim. Tus menyuam mos cov quav tuaj yeem suav nrog txhua qhov ntxoov daj. Nws kuj tseem yuav muaj xim ntsuab yog tias muaj qib siab ntawm bilirubin. Tsis tas li ntawd, qaub tsw, xim ntsuab thiab impurities tuaj yeem tshwm sim vim qhov tsis paub qab hau ntawm lub plab zom mov thiab daim siab. Tag nrho cov no yog hais txog qhov sib txawv ntawm cov qauv thiab yuav tsum dhau mus.
  • Kev sib haum xeeb. Hauv cov menyuam yug tshiab, cov quav tuaj yeem ua kua thiab tuab. Nws suav hais tias yog ib txwm muaj nyob rau hauv txhua rooj plaub: yog tias nws yog dej thiab tawm cov xim daj ntawm daim ntaub thiab tuab, nco txog cov qaub nplaum hauv qhov sib xws.
  • meconium hauv cov menyuam mos
    meconium hauv cov menyuam mos
  • Kev tsis huv. Nyob rau hauv cov quav ntawm tus me nyuam mos, muaj ntau yam streaks, impurities thiab lumps feem ntau yuav pom. Tag nrho cov no yuav daws nws tus kheej tom qab kev hloov kho zaum kawg ntawm cov txheej txheem digestive.
  • Qhov ntau zaus ntawm plab hnyuv yog qhov laj thawj tseem ceeb vim li cas cov niam tsis muaj kev txhawj xeeb thiab ua rau lawv lub taub hau tawg. Txawm li cas los xij, qhov tseeb, qhov zaus ntawm cov quav yog tib neeg nkaus xwb. Feem ntau nyob rau hauv thawj hnub ntawm tus me nyuam lub neej, nws cov quav tuaj yeem nquag, tom qab ntawd nws yuav ntau thiab tsawg, thiab thaum kawg ntawm thawj lub hlis nws tau tsim tag nrho. Cov quav zaus yog txiav txim siab los ntawm txoj hnyuv motility, qhov tshwj xeeb ntawm kev zom zaub mov, muaj qhov tsim nyog microflora hauv lub cev thiab ntau lwm yam khoom, yog li ntawd, feem ntau, tus menyuam mos tuaj yeem muaj qhov zaus ntawm plab hnyuv, tab sis feem ntau lawv cov lej nce mus txog. tsib mus rau kaum thaum nruab hnub. Qhov taw qhia tseem ceeb yog kev noj qab haus huv ntawm tus menyuam. Yog hais tias nws yog active,nws zoo siab thiab noj mis zoo, pw tsaug zog, tsis raug kev txom nyem los ntawm gaziki, ces txhua yam nyob rau hauv kev txiav txim nrog nws, thiab xws li ib tug zaus nyob ntawm nws tus kheej yam ntxwv.

Txawm li cas los xij, ntau yam kab mob pathological tuaj yeem ua tau. Xav txog lawv.

pes tsawg meconium tawm hauv cov menyuam mos
pes tsawg meconium tawm hauv cov menyuam mos

Meconium ileus

Nyob tsis tshua muaj meconium nkig kom nws thaiv cov ileum. Qhov kev cuam tshuam zoo li no yog vim muaj qhov ua haujlwm tsis zoo ntawm lub txiav, uas tsis tsim cov enzymes uas pab txo qhov ntom ntawm meconium. Feem ntau meconium ileus yog txuam nrog cystic fibrosis, uas yog, ib qho kab mob loj heev uas tshwm sim los ntawm kev ua pa tsis zoo. Cov kab mob zoo li no tshwm sim hauv ib tus menyuam mos hauv nees nkaum txhiab.

Nws yooj yim heev kom paub txog cov tsos mob uas ua rau meconium ileus: cov quav tsis tuaj rau thawj hnub lossis thib ob, lub plab o, nrog rau qhov o ntawm cov epidermal integument nyob ib puag ncig nws, ntuav muaj cov khoom xyaw ntawm cov zaub ntsuab thiab kua tsib. Tab sis nws tsis yooj yim rau kev kuaj mob kom raug, feem ntau qhov no tshwm sim thaum lub sijhawm ua haujlwm. Nws muaj peev xwm tham txog kev mob plab hnyuv tsuas yog tom qab x-ray nrog kev ncua ntawm barium.

Thaum xub thawj, lawv sim pab tus menyuam thiab muab tso rau hauv qhov chaw, piv txwv li, nrog peb feem pua ntawm cov tshuaj pancreatin, vim tias cov quav tsis tshua muaj. Thaum tsis muaj qhov xav tau los ntawm cov txheej txheem zoo li no, yuav tsum muaj kev cuam tshuam.ua haujlwm.

Meconium aspiration tshwm sim.

meconium hauv cov kua amniotic
meconium hauv cov kua amniotic

Aspiration Syndrome

Lwm qhov teeb meem cuam tshuam txog tus mob no, thaum meconium nkag mus rau hauv tus menyuam lub ntsws. Qhov no tuaj yeem tshwm sim ua ntej yug menyuam, thiab thaum lub sijhawm lawv. Yog li, nyob rau hauv cov kua amniotic, meconium muaj nyob rau hauv cov ntaub ntawv ntawm cev xeeb tub. Yog tias kev ua haujlwm qeeb qeeb, ib txwm muaj kev pheej hmoo ntawm kev tsim asphyxia lossis hypoxia. Cov xwm txheej zoo li no yog qhov txaus ntshai heev, vim tias cov pa roj carbon dioxide tau khaws cia hauv cov hlab ntsha ua rau lub hlwb ua pa, ua rau tus menyuam ua pa thawj zaug hauv plab, thiab yog li ntawd muaj kev phom sij ntawm nqos dej. Thaum kis nrog meconium, nws nkag mus rau hauv lub ntsws, thiab qhov no tuaj yeem ua rau mob ntsws loj.

Yog tias tus menyuam yug tshiab tau nqos dej huv lossis tsis huv, lawv ntxuav nws cov pa thiab ua tib zoo saib xyuas nws tus mob kom tsis txhob muaj mob ntsws lossis pib kho raws sijhawm.

meconium nyob rau hauv cov me nyuam mos muaj pes tsawg hnub
meconium nyob rau hauv cov me nyuam mos muaj pes tsawg hnub

Yog li, lub xeev ntawm meconium yog ib qho tseem ceeb heev ntawm kev noj qab haus huv ntawm tus menyuam. Feem ntau, tsis muaj teeb meem tshwm sim nrog nws, tsuas yog muaj qee qhov kev kho kom rov zoo tuaj yeem ua kom rov ua pa los yog digestive ua haujlwm ntawm crumbs.

Tam sim no peb paub ntau npaum li cas meconium kis rau cov menyuam yug tshiab.

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